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Common Reasons for Payment Denials and How to Address Them

Common Reasons for Payment Denials and How to Address Them

by Loralee Kapp | Posted: Mar 3, 2025 | Medical Billing

Did you know that 15% of all claims submitted to payers for reimbursements get denied initially? This stat highlights the significance of effectively addressing an underlying problem: payment denials in healthcare. For healthcare professionals and insurers,...
Key Developments in Medical RCM for 2025

Key Developments in Medical RCM for 2025

by Julie Clements | Posted: Feb 27, 2025 | Medical Billing, Medical Outsourcing

Efficient revenue cycle management is the backbone of any healthcare organization, and it is constantly shaped by emerging trends, technological advancements, and ongoing challenges. Like previous years, medical RCM for 2025 brings significant changes that will impact...
ICD-10 Codes for Basal Cell Carcinoma – A Common Type of Skin Cancer

ICD-10 Codes for Basal Cell Carcinoma – A Common Type of Skin Cancer

by Natalie Tornese | Posted: Feb 24, 2025 | Medical Billing, Medical Coding, Medical Outsourcing

Basal cell carcinoma (BCC) is a condition that causes a lump, bump or lesion to form on the outside layer of your skin (epidermis). It most often appears on areas of the skin that are exposed to the sun, such as your head and neck and is caused when one of the...
What’s the Difference between a New Patient and an Established Patient?

What’s the Difference between a New Patient and an Established Patient?

by Rajeev Rajagopal | Posted: Jan 28, 2025 | Medical Billing, Medical Coding, Specialty Practices

Evaluation and management (E/M) codes apply to visits and services that involve evaluating and managing patient health. E/M services include office and outpatient visits, hospital visits, home services, and preventive medicine services. As coders in a medical billing...
How do Medical Billing and Coding Regulations affect Reimbursement in Healthcare Organizations?

How do Medical Billing and Coding Regulations affect Reimbursement in Healthcare Organizations?

by Natalie Tornese | Posted: Jan 3, 2025 | Medical Billing, Medical Outsourcing

Medical billing and coding regulations play a critical role in determining reimbursement in healthcare organizations by ensuring that services provided are accurately documented, billed, and compliant with payer guidelines. Complying with industry regulations if...
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